Damage Assessment Center in Al Qateef DA Center - ‫ر ز ا د ر‬

Qateef Center City - ‫د ا ر ز‬

26/08/2023 01:13:39 PM Print Date - ‫ر اط‬
08/08/2023 01:58:15 PM DA Date – ‫ر ا د ر‬
‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
08/08/2023 04:30:28 PM DA Completed Date – ‫ر إ لا‬
DA0808232832 DA Report No - ‫ر م ا ر ر‬
Final Damage
DM030823123 Accident No - ‫ر م ا دث‬
Assessment Report
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
1/2 Pages - ‫ر م‬

‫دي ا ك‬ Vehicle Owner Name / ‫كا ر‬ ‫ا م‬

‫ا ك‬
1032248583 ID / ‫ر م ا و‬ Owner

Vehicle Details
0559224005 Mobile No / ‫ر م ا وال‬

‫و تا ر‬
Hyundai Vehicle Manufacturer / ‫ا ر‬
‫ت‬ ‫ا‬ Model / ‫ا ود ل‬
‫تا ر‬
Red 2019 Color & Year / ‫ا ون وا‬
Vehicle Info
H T D 7084 Plate No / ‫رما و‬
MALC741CXKM093921 Chasis No / ‫ل‬ ‫رما‬
Vehicle damage assessment center in Qatif Estimated By / ‫ا د ر‬ ‫ا‬

2200.00 (A) Estimation Cost / ‫ا د ر‬ ‫ا‬ ‫أ ور ا دي ا‬

Labor Estimation

Assessment Details
330.00 VAT (15%) / ‫ا‬ ‫ا‬ ‫ر‬

‫و تا در‬
471.80 (B) Spare Parts Cost /‫ر‬ ‫ط ا‬
‫ط ا ر‬
Spare Parts
70.77 VAT (15 %) / ‫ا‬ ‫ا‬ ‫ر‬

2671.80 (A+B) Total Cost / ‫ا‬ ‫ا‬

‫ا‬ ‫أ‬
(A+B+VAT) Total Cost including VAT / ‫ا‬ Final Estimation
3072.57
‫ا‬ ‫ر ا‬ ‫ا‬
‫ظت‬
‫دال‬ ‫ا‬ ‫ط دم ا د‬ ‫روا‬ ‫رو ب‬ ‫ح ر رف‬ ‫لا‬ ‫لا د‬
Comments

‫ا د وا ط‬ ‫طر ا د‬ (%) ‫ا ؤو‬

Payment By Payment Method Liability(%)
Arabian Insurance Cooperative Company By Insurance Company 100
Damage Assessment Center in Al Qateef DA Center - ‫ر ز ا د ر‬
Qateef Center City - ‫د ا ر ز‬
26/08/2023 01:13:39 PM Print Date - ‫ر اط‬
08/08/2023 01:58:15 PM DA Date – ‫ر ا د ر‬
‫ـ ـر ـر ـ ــد ــر ا ــرار ا‬
08/08/2023 04:30:28 PM DA Completed Date – ‫ر إ لا‬
DA0808232832 DA Report No - ‫ر م ا ر ر‬
Final Damage
DM030823123 Accident No - ‫ر م ا دث‬
Assessment Report
Najm Accident Attended by - ‫رة ا دث ن طر‬
Sub Case Type - ‫دث‬ ‫رة‬ ‫ا‬ ‫ا‬
2/2 Pages - ‫ر م‬

‫ا‬ ‫ر‬ ‫ا‬ ‫ا‬ ‫ر د‬ ‫ط ا‬ ‫ا‬ ‫ا‬

‫م‬ ‫ا‬
‫ا‬ ‫ا‬ ‫ا‬ ‫ر‬ ‫ما‬ ‫ا‬ ‫ا‬ ‫ا‬ ‫ورد ط ا ر‬
‫ا‬
Sparepart Final value (15%) Parts Final Value After Total cost Spare part dealer
Overall Discount
with VAT (15%) Overall Discount %
542.57 70.77 471.80 0% 674.00 Afyal Information Technology

‫ك‬ ‫م وا‬ ‫دا‬ ‫ا‬

‫ك‬ ‫ا‬ ‫م‬ ‫ا‬ ‫ا‬ ‫ر ا و دة‬ ‫ا دد‬ ‫ط ا ر‬
Total After Discount
Consumption% Discount % Total Unit price Quantity Spare part
& Consumption

‫دام‬
436.10 0% 30% 623.00 623.00 1
86610H6010
‫ر‬ ‫دام‬
35.70 0% 30% 51.00 51.00 1
86613H6000